Colorectal Cancer

Mr Eoghan Condon, MD,FRCSI.

Consultant Colorectal Surgeon Mid Western Regional Hospital Limerick.

incidence

   Second most commonly diagnosed cancer in men and women in ireland 1900 cases per year Ave 8 per week diagnosed in the Mid western hospital group . Six surgeries per week.

Causes

   No definite link to any virus food or drink Diseases Crohns and Ulcerative colitis significant links Genetics Familial polyposis coli, Microsatellite instability.

Survival

 5 year survival in ireland for colorectal cancer is 50%   5 year survival in the USA is 75% Why ? Early detection.

 Every body is screened in the US at 50

     

Ireland Screening

2012 12 million 55-74 Based on immunohsitocemical screening 12 centres, Ennis new endoscopy suite has applied to centre.

Expected to increase survival

Polyps

 10-15% population  10yrs before cancers  Adenomas  >1 cm increases risk

Family history and risk of colorectal cancer

liver

Symptoms that define high risk and low risk patients

Urgent referral

 Over 50 years of age  Rectal bleeding persistently without anal symptoms  Change of bowel habit to looser stools and/or increased frequency of defaecation, without bleeding, persisting for > 6 weeks

Urgent referral

 All ages    Definite palpable abdominal/ rectal mass Rectal bleeding with a change in bowel habit to looser stools and/or increased frequency persistent for > 6 weeks Iron deficiency anaemia without an obvious cause

Treatment options – are based on staging!

 Surgery   Radiotherapy chemotherapy

On the occasion of Dr. George Crile, Sr.’s twenty-five thousandth thyroidectomy (June 3, 1936), thirteen people crowded around the patient - some without masks or gowns. Barney is the fourth from left; his father is across from him. Third from right is the Chief’s longtime secretary, Amy Rowland.

Thank you